Defining the Pros and Cons of Open, Conventional Laparoscopy, and Robot-Assisted Pyeloplasty in a Developing Nation
Introduction. Congenital pelviureteric junction obstruction (PUJO) is one of the most common causes of hydronephrosis. Historically, open dismembered pyeloplasty has been considered the gold standard intervention for correcting PUJO. The aim of this study was to compare the surgical and functional o...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2014/850156 |
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| author | Mrinal Pahwa Archna R. Pahwa Mohit Girotra Rtika Ryfka Abrahm Sachin Kathuria Ajay Sharma |
| author_facet | Mrinal Pahwa Archna R. Pahwa Mohit Girotra Rtika Ryfka Abrahm Sachin Kathuria Ajay Sharma |
| author_sort | Mrinal Pahwa |
| collection | DOAJ |
| description | Introduction. Congenital pelviureteric junction obstruction (PUJO) is one of the most common causes of hydronephrosis. Historically, open dismembered pyeloplasty has been considered the gold standard intervention for correcting PUJO. The aim of this study was to compare the surgical and functional outcomes of three different approaches, namely, open, conventional laparoscopy, and robotic pyeloplasty. Material and Methods. 60 patients underwent minimally invasive pyeloplasty (30 conventional laparoscopies and 30 robotics) for congenital PUJO at a tertiary health center in India. Demographic, perioperative, and postoperative data were prospectively collected and analyzed. The data of these patients were retrospectively compared with another cohort of 30 patients who had undergone open pyeloplasty. Results. There was significant difference in operative time, time to drain removal, hospital stay, pain score, and complications rate between open and minimally invasive pyeloplasty (P<0.05). SFI was considerably lesser in robotic as compared to conventional laparoscopy. The success rate in OP, CLP, and RP was 93.33, 96.67, and 96.67%. Conclusion. Robotic pyeloplasty is safe, effective, and feasible. It is associated with significantly lesser operative time, lesser blood loss, less pain, shorter hospital stay, and fewer complications. It is also associated with considerably lesser surgeon fatigue as compared to conventional laparoscopy pyeloplasty. |
| format | Article |
| id | doaj-art-32eb0821682a4551bd7ff340ef52c6fd |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-32eb0821682a4551bd7ff340ef52c6fd2025-02-03T01:32:49ZengWileyAdvances in Urology1687-63691687-63772014-01-01201410.1155/2014/850156850156Defining the Pros and Cons of Open, Conventional Laparoscopy, and Robot-Assisted Pyeloplasty in a Developing NationMrinal Pahwa0Archna R. Pahwa1Mohit Girotra2Rtika Ryfka Abrahm3Sachin Kathuria4Ajay Sharma5Sir Ganga Ram Hospital, 78-c, Mianwali Colony, Gurgaon 122001, IndiaLady Hardinge Medical College, New Delhi 110001, IndiaUniversity of Arkansas for Medical Sciences, Little Rock, AR 72205, USAUniversity of Arkansas for Medical Sciences, Little Rock, AR 72205, USASir Ganga Ram Hospital, 78-c, Mianwali Colony, Gurgaon 122001, IndiaSir Ganga Ram Hospital, 78-c, Mianwali Colony, Gurgaon 122001, IndiaIntroduction. Congenital pelviureteric junction obstruction (PUJO) is one of the most common causes of hydronephrosis. Historically, open dismembered pyeloplasty has been considered the gold standard intervention for correcting PUJO. The aim of this study was to compare the surgical and functional outcomes of three different approaches, namely, open, conventional laparoscopy, and robotic pyeloplasty. Material and Methods. 60 patients underwent minimally invasive pyeloplasty (30 conventional laparoscopies and 30 robotics) for congenital PUJO at a tertiary health center in India. Demographic, perioperative, and postoperative data were prospectively collected and analyzed. The data of these patients were retrospectively compared with another cohort of 30 patients who had undergone open pyeloplasty. Results. There was significant difference in operative time, time to drain removal, hospital stay, pain score, and complications rate between open and minimally invasive pyeloplasty (P<0.05). SFI was considerably lesser in robotic as compared to conventional laparoscopy. The success rate in OP, CLP, and RP was 93.33, 96.67, and 96.67%. Conclusion. Robotic pyeloplasty is safe, effective, and feasible. It is associated with significantly lesser operative time, lesser blood loss, less pain, shorter hospital stay, and fewer complications. It is also associated with considerably lesser surgeon fatigue as compared to conventional laparoscopy pyeloplasty.http://dx.doi.org/10.1155/2014/850156 |
| spellingShingle | Mrinal Pahwa Archna R. Pahwa Mohit Girotra Rtika Ryfka Abrahm Sachin Kathuria Ajay Sharma Defining the Pros and Cons of Open, Conventional Laparoscopy, and Robot-Assisted Pyeloplasty in a Developing Nation Advances in Urology |
| title | Defining the Pros and Cons of Open, Conventional Laparoscopy, and Robot-Assisted Pyeloplasty in a Developing Nation |
| title_full | Defining the Pros and Cons of Open, Conventional Laparoscopy, and Robot-Assisted Pyeloplasty in a Developing Nation |
| title_fullStr | Defining the Pros and Cons of Open, Conventional Laparoscopy, and Robot-Assisted Pyeloplasty in a Developing Nation |
| title_full_unstemmed | Defining the Pros and Cons of Open, Conventional Laparoscopy, and Robot-Assisted Pyeloplasty in a Developing Nation |
| title_short | Defining the Pros and Cons of Open, Conventional Laparoscopy, and Robot-Assisted Pyeloplasty in a Developing Nation |
| title_sort | defining the pros and cons of open conventional laparoscopy and robot assisted pyeloplasty in a developing nation |
| url | http://dx.doi.org/10.1155/2014/850156 |
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